頁籤選單縮合
題 名 | The Long-Term Follow up of Salvaged Limbs in Mangled Lower Extremities |
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作 者 | 杜元坤; 葉文凌; 顏政佑; 王坤全; 翁文能; | 書刊名 | 中華民國骨科醫學會雜誌 |
卷 期 | 16:1 1999.03[民88.03] |
頁 次 | 頁1-11 |
分類號 | 416.26 |
關鍵詞 | Mangled lower extremity; Limb savlage; Functional outecomes; |
語 文 | 英文(English) |
英文摘要 | Introduction: With the current advance of microsurigical technique, many of the esvere injured limbs could be saved instead limbs could be saved instead of be amputated. However, the long-term results of these reconstructed lower limbs were still scarcely dis-cussed. Are those patients with limb-saved really enjoying our so-called surgical miracles? Materials and Methods: We performed a prospective study from 1991 to 1993. Patients who suffered from mangled lower limbs were enrolled in our study. There were 70 patients, most were victims of traffic accident. Twenty cases were amputated, while 50 cases were limb-saved. The duration of hospital stay, hospital costs, infection rate, nonunion rate, times of surgery, subjective complaints , and long term functional outcomes were all evaluated. Results: In 5 years follow-up, 70% of our patients had major subjective complaints, which included pain,weakness, social-economical embarrassment, and so on. When MESS (mangled extremity severity score) points were lower than 5,the functional outcomes were significant better than those higher than or equal to 5. Infetion rate (24%) and nonunion rate (30%) were high in the sal- vaged limbs.Most ofour patients were forced to change their jobs and lifestyles after our salvage procedures. Discussion: The saved mangled lower limbs were found to have many poor results and complaints. The possibility of complications should be told to patients and family members before our heroic try. The patients with MESS points equal to or higher than 5 were inclined to have poor functional results. |
本系統中英文摘要資訊取自各篇刊載內容。